| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.22 | $75.22 | $127.85 |
Aetna
| Professional | $130.66 | $151.36 | $153.99 | |
BCBS
| Professional | $289.52 | $312.20 | $368.87 | |
Cigna
| Professional | $162.01 | $254.41 | $395.53 | |
Medica
| Professional | $152.66 | $286.64 | $920.53 | |
United
| Professional | $152.66 | $266.89 | $379.97 |